<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pt_order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pt_order_id" data-rule="required" data-source="pt/order/index" class="form-control selectpage" name="row[pt_order_id]" type="text" value="{$row.pt_order_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_no" data-rule="required" class="form-control" name="row[order_no]" type="text" value="{$row.order_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_name" data-rule="required" class="form-control" name="row[user_name]" type="text" value="{$row.user_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Id_card')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-id_card" data-rule="required" class="form-control" name="row[id_card]" type="text" value="{$row.id_card|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Agency_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agency_id" data-rule="required" data-source="agency/index" class="form-control selectpage" name="row[agency_id]" type="text" value="{$row.agency_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Agency_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agency_name" data-rule="required" class="form-control" name="row[agency_name]" type="text" value="{$row.agency_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Series_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-series_id" data-rule="required" data-source="series/index" class="form-control selectpage" name="row[series_id]" type="text" value="{$row.series_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Series_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-series_name" class="form-control" name="row[series_name]" type="text" value="{$row.series_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Major_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-major_id" data-rule="required" data-source="major/index" class="form-control selectpage" name="row[major_id]" type="text" value="{$row.major_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Major_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-major_name" class="form-control" name="row[major_name]" type="text" value="{$row.major_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Province_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-province_id" data-rule="required" data-source="province/index" class="form-control selectpage" name="row[province_id]" type="text" value="{$row.province_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('City_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-city_id" data-rule="required" data-source="city/index" class="form-control selectpage" name="row[city_id]" type="text" value="{$row.city_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('District_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-district_id" data-rule="required" data-source="district/index" class="form-control selectpage" name="row[district_id]" type="text" value="{$row.district_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('District_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-district_name" class="form-control" name="row[district_name]" type="text" value="{$row.district_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_id" data-rule="required" data-source="leader/index" class="form-control selectpage" name="row[leader_id]" type="text" value="{$row.leader_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_name" data-rule="required" class="form-control" name="row[leader_name]" type="text" value="{$row.leader_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Platform_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-platform_id" data-rule="required" data-source="platform/index" class="form-control selectpage" name="row[platform_id]" type="text" value="{$row.platform_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Platform_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-platform_name" class="form-control" name="row[platform_name]" type="text" value="{$row.platform_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('General_public_course_hour')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-general_public_course_hour" class="form-control" step="0.1" name="row[general_public_course_hour]" type="number" value="{$row.general_public_course_hour|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Professional_public_course_hour')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-professional_public_course_hour" class="form-control" step="0.1" name="row[professional_public_course_hour]" type="number" value="{$row.professional_public_course_hour|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Professional_course_hour')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-professional_course_hour" class="form-control" step="0.1" name="row[professional_course_hour]" type="number" value="{$row.professional_course_hour|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_course_hour')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_course_hour" class="form-control" name="row[total_course_hour]" type="number" value="{$row.total_course_hour|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Edu_order_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-edu_order_status" data-rule="required" class="form-control" name="row[edu_order_status]" type="number" value="{$row.edu_order_status|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-price" data-rule="required" class="form-control" step="0.01" name="row[price]" type="number" value="{$row.price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Class_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-class_fee" class="form-control" step="0.01" name="row[class_fee]" type="number" value="{$row.class_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Credit_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-credit_fee" class="form-control" step="0.01" name="row[credit_fee]" type="number" value="{$row.credit_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Plan_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-plan_fee" class="form-control" step="0.01" name="row[plan_fee]" type="number" value="{$row.plan_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remarks')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remarks" class="form-control" name="row[remarks]" type="text" value="{$row.remarks|htmlentities}">
        </div>
    </div>
 
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
